| NPI | 1245319979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036071187) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101009031) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-04-22 |